Individual provider Active NPI

Chantal Simard, AUD

  • Audiologist
  • Dover, NH
National Provider Identifier
1457090599
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A854 Issued in NH
Practice address
158 NH Route 108 Ste G
Dover, NH 03820-8812
Phone
(603) 742-6555
Fax
(603) 742-3256
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist 231H00000X 01608 MD
Audiologist-Hearing Aid Fitter 237600000X 01608 MD
Audiologist 231H00000X A854 NH Primary

Addresses

Primary practice location

158 NH Route 108 Ste G
Dover, NH 03820-8812

Mailing address

2 Century LN
Litchfield, NH 03052-1074
Phone (603) 913-3424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128004346 NH Practitioner - Qualified Audiologist 5395120950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Audiology LLCGroup PAC ID 3971910829, 4 clinicians

Practice addresses (Care Compare)

51 Webb PL
Suite 110
Dover, NH 03820-2454
Phone (603) 742-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A854NHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Audiology LLC Audiologist CurrentSince Jan 6, 2025 Accepting new patients

Locations

51 Webb Pl
Ste 110
Dover, NH 03820
Phone (603) 742-6555

158 NH Route 108
#G
Dover, NH 03820
Phone (603) 742-6555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1457090599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTURY LN",
            "city": "LITCHFIELD",
            "state": "NH",
            "postal_code": "030521074",
            "telephone_number": "603-913-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 NH ROUTE 108 STE G",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038208812",
            "telephone_number": "603-742-6555",
            "fax_number": "603-742-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMARD",
        "first_name": "CHANTAL",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01608",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01608",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.